Question

As a therapist, how do you manage a patient having a panic attack during a session? Can you identify when it’s about to occur; if so, do you take any steps to attempt to prevent it?

Answer 1

I can provide guidance on how a therapist might handle a patient experiencing a panic attack during a session.

1. Recognize the Signs: Therapists with experience can often identify signs that a patient might be heading towards a panic attack. Common signs include increased heart rate, shallow breathing, trembling, sweating, and signs of distress or fear.

2. Stay Calm and Supportive: It's essential for the therapist to remain calm and composed during the patient's panic attack. Your presence and support can help the patient feel more secure and less overwhelmed.

3. Validate Their Feelings: Let the patient know that their feelings are valid and that it's okay to experience panic or anxiety. Avoid dismissing or minimizing their emotions.

4. Grounding Techniques: Encourage the patient to use grounding techniques to connect with the present moment and alleviate some of the panic. Techniques may include deep breathing exercises, focusing on sensory experiences, or identifying five things they can see, hear, or touch in the room.

5. Provide Reassurance: Reassure the patient that the panic attack will pass and that they are not in danger. Remind them that you are there to support them.

6. Maintain Open Communication: Encourage the patient to communicate what they are experiencing during the panic attack, but also let them know that it's okay if they don't want to talk about it immediately.

7. Adjust the Environment: If possible, make adjustments to the environment that might help the patient feel more comfortable and safe. For example, offering a glass of water or dimming the lights.

8. Review Coping Strategies: After the panic attack has subsided, work with the patient to review and reinforce coping strategies that might help prevent or manage future panic attacks.

9. Know When to Seek Professional Help: If a patient's panic attacks are persistent and severe, it's essential to refer them to a mental health specialist or a psychiatrist for a more comprehensive evaluation and treatment plan.

Remember, panic attacks can be distressing for both the patient and the therapist. It's crucial for therapists to engage in self-care and seek supervision or support from other mental health professionals when needed.